Year: 2023

NY FQHCs Receive $135 Million to Offset State’s 340B Medicaid Shift, While Other Providers Wait

July 20, 2023 Rich Daly, Editor in Chief Views

New York health centers are getting $135 million this week to partially replace revenue providers lost when the state implemented an April 1 shift of its Medicaid managed care drug benefits to Medicaid FFS, called NYRx.

Federally qualified health centers in New York received $135 million lump sum payments this week to partially offset expected 340B [...]

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Johnson & Johnson, Astellas Each Sue to Stop Medicare Drug Price Negotiations

July 20, 2023 William Newton, Associate Editor/Senior Writer Views

Johnson & Johnson and Astellas are the latest drugmakers to sue in federal court to stop Medicare drug price negotiation.

Drug manufacturers Johnson & Johnson and Astellas Pharma have each asked federal district courts to strike down parts of the [...]

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July 20, 2023 Sponsored Content Views

Senate Panel Could Mark Up PBM Bill Next Week With Spread Pricing Language That 340B Providers Oppose

July 18, 2023 William Newton, Associate Editor/Senior Writer Views

A group of Republicans on the Senate Finance Committee have called on CMS to withdraw its plan to rewrite the definition of Medicaid best price.

The U.S. Senate Finance Committee could mark up a pharmacy benefit manager reform bill next week with Medicaid managed care [...]

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U.S. House Energy & Commerce Committee Drafting Drug Shortages Bill

July 18, 2023 Tom Mirga, Editor at Large Views

U.S. House Energy & Commerce Committee Chair Cathy McMorris Rodgers (R-Wash.) says the panel plans to circulate a draft drug shortage bill in the coming weeks.

The U.S. House Energy & Commerce Committee plans to circulate a draft drug shortage bill in the coming weeks, committee [...]

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Judge Rejects 340B Provider Challenge to California Medicaid Drug Payment Shift

July 18, 2023 Rich Daly, Editor in Chief Views

A federal district judge in Sacramento, Calif., dismissed a lawsuit on July 17 aimed at reversing the state’s transfer of Medicaid managed care drugs benefits to Medicaid fee for service.

A federal district judge in Sacramento, Calif., recently dismissed a lawsuit aimed at reversing the state’s January 2022 transfer of [...]

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Commentary in NEJM Backs Making Hospitals Report Gross Profits from 340B

July 18, 2023 Tom Mirga, Editor at Large Views

To encourage nonprofit hospitals to do more for their communities, policymakers could examine how hospitals are using their gross profit from the 340B program, an opinion article in The New England Journal of Medicine says.

The 340B drug pricing program has evolved from a “buy low, sell low” program to help safety-net hospitals serve low-income [...]

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340B Is “Off the Rails,” Civil Rights Leader Chavis Says in Nationally Syndicated Op-Ed

July 18, 2023 Tom Mirga, Editor at Large Views

Health system greed has “made a mockery” of the 340B program, civil rights leader Benjamin Chavis says in nationally syndicated op-ed published by multiple African American news organizations.

Health system greed has “made a mockery” of the 340B drug pricing program and leads to practices that widen health [...]

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Medicare Part B Keeping Default Pay Rate for 340B Drugs, Says OPPS Proposed Rule

July 18, 2023 Rich Daly, Editor in Chief Views

Medicare Part B plans to continue paying average sales price plus 6% for for 340B acquired drugs and biologicals in 2024, the U.S. Centers for Medicare & Medicaid Services said July 13.

Medicare Part B plans to continue paying the statutory default rate—generally average sales price plus 6%—for 340B acquired drugs and [...]

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U.S. Chamber of Commerce Asks Court to Pause Medicare Drug Price Negotiations

July 18, 2023 William Newton, Associate Editor/Senior Writer Views

The U.S. Chamber of Commerce asked a federal district court last week for a preliminary injunction against Medicare drug price negotiation.

The U.S. Chamber of Commerce asked a federal district court in Ohio last week to stop Medicare from implementing the [...]

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